PHHS Block Grant Management Information System (BG-MIS) Work Plan

Attachment 4A: PHHS Block Grant Management Information System (BG-MIS) Work Plan Instrument

There are no changes to the information being collected.

Upon OMB approval, the OMB control information and the burden statement on the BG-MIS login screen will be updated as shown below:

(Note: the new expiration date is TBD)

Form Approved

OMB No. 0920-0106

Exp. Date: XX-XX-XXXX

Public reporting burden for this collection of information is estimated to average 20 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collected information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road, NE, MS D-74, Atlanta, Georgia 30333: ATTN: PRA (0920-0106).

PHHS Block Grant Management Information System (BG-MIS)

Work Plan

Instrument (currently approved)

Login

Main Screen – Access to all sections of the BG-MIS

Section 1: Work Plan and Work Plan Review

Main

Select a Work Plan from Work Plan List

(Work Plan) Main Screen --- Overview of Work Plan Elements

(Work Plan) Navigate Work Plan/View and Enter Data

(Work Plan) Cover Page

(Work Plan) Cover Page Administrative Information

(Work Plan) Cover Page Executive Summary & Priority Check List

Work Plan Statutory Information

(Work Plan) Statutory Information – Enter Advisory Committee Meeting Dates & Public Hearing Dates

(Work Plan) Statutory Information – Certifications & Assurances

Work Plan Budget

(Work Plan) Budget – Direct Assistance Enter/Add Additional/Delete

Work Plan Program Information

(Work Plan) Enter Program Title & Strategy and FTE Text Description

(Work Plan) Enter Program FTE’s

(Work Plan) Program Health Objective Information

(Work Plan) Program –Select National Health Objective

(Work Plan) Program – Enter State Health Objective

(Work Plan) Program – Enter State Health Problem

Infrastructure Health Objectives (Chapter 23)

(Work Plan) Program – Select Evidence Based Guidelines/CDC Goal/Places

(Work Plan) Program – Enter Block Grant Role and Allocate Funds to Health Objective

(Work Plan) Program – Public Health Essential Services

(Work Plan) Program – Select one or more Public Health Essential Services

(Work Plan) Program – Impact Objectives (IO’s) for the Public Health Essential Services

(Work Plan) Program – Enter Impact Objectives (IO’s) for the Public Health Essential Services in SMART format

(Work Plan) Program – Enter Activities for Impact Objective

(Work Plan) CDC Completes Review of Work Plan (Grantee Views CDC Review)

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